How much rates vary
Facilitymedian $66 · 10th to 90th $56 to $98Professionalmedian $63 · 10th to 90th $33 to $692
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $60.26 Median $64.57 Typical High $66.07 | Facility | None | $60.26 | $64.57 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $67.61 | Professional | None | $58.88 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $32.36 Typical High $33.88 | Professional | 52 · Reduced service | $29.51 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.88 Typical High $13.49 | Professional | 53 · Discontinued | $11.75 | $12.88 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.77 Typical High $10.23 | Professional | 55 · Aftercare only | $8.91 | $9.77 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.46 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.89 | $6.46 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Lucent Health Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $691.83 | Professional | None | $446.68 | $691.83 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $97.72 | Facility | None | $54.95 | $66.07 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $67.61 | Professional | None | $58.88 | $64.57 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $32.36 Typical High $33.88 | Professional | 52 · Reduced service | $29.51 | $32.36 | $33.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.88 Typical High $13.49 | Professional | 53 · Discontinued | $11.75 | $12.88 | $13.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.77 Typical High $10.23 | Professional | 55 · Aftercare only | $8.91 | $9.77 | $10.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.46 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.89 | $6.46 | $6.76 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | None | $33.88 | $37.15 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $79.43 Typical High $97.72 | Facility | None | $54.95 | $79.43 | $97.72 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Facility | None | $89.13 | $89.13 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $38.90 Typical High $54.95 | Professional | None | $12.88 | $38.90 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | None | $79.43 | $104.71 | $104.71 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Oscar Health Setting Professional Modifier GX · Voluntary liability notice Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | GX · Voluntary liability notice | $12.59 | $12.59 | $12.59 |
Where Texas sits
The same service costs 2.6 times more in Montana than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 22nd of 51
$63.10
MT $100OH $38.02
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.